NPI | 1396382768 |
---|---|
Former Name | ASHLEY CLEVELAND MADRID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3770) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 8014) |
Enumeration Date | 2019-12-04 |
Last Update Date | 2024-08-13 |